Extreme Holiday Christmas Party 
Extreme Science Kid Christmas Extravaganza  
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Parent First and Last name  *
Parent Email  *
Parent Phone Number  *
Parent Address *
County *
Child's Gender, Name, & Age :
Up to 3 names per adult  . All children must have a first, last name, gender, and age. 
*
ID verification required during pick up. Please verify  will you be able to provide a Mass address?  *
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